CLIP DEVICE AND CONNECTION METHOD OF CLIP UNIT AND ACTUATOR
A clip device includes an arm portion including a plurality of arms that are biased to an open state; a pressing tube into which a proximal-end portion of the arm portion is accommodated and configured to be able to lock the arm portion in a closed state; an insertion portion connected to a proximal-end opening of the pressing tube at a distal end of the insertion portion; a power transmission member extending through the insertion portion; a link configured to detachably connect a distal-end portion of the power transmission member and a proximal-end portion of the arm portion; a first stopper configured to regulate the distal-end portion of the power transmission member from protruding from a distal-end opening of the pressing tube, and a switching portion configured to switch the clip device between a first state and a second state.
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This application is a continuation application of PCT International Application No. PCT/JP2020/016405, filed Apr. 14, 2020. The content of the PCT International Application is incorporated herein by reference.
TECHNICAL FIELDThe present disclosure relates to a clip device and a connection method of a clip unit and an actuator.
BACKGROUNDIn an endoscopic treatment, a clip unit that can ligate the resection portion after the treatment for the hemostasis is used. The clip unit includes a clip for clamping the resection portion and the like, and a pressing tube for accommodating the clip and locking the clip in a closed state.
In a case in which the clip has a self-expanding force so as to be biased to an open state, it is possible for the surgeon to return the clip to the open state to re-grasp the resection portion before the clip clamping the resection portion is accommodated in the pressing tube and locked in the closed state.
For example, a medical clip cartridge can refill (reload) a new medical clip into the catheter tube when the clip is removed. The clip is refilled with a hook protruding from the distal end of the catheter tube.
With regard to the medical clip cartridge described above, the clip being used is not a re-graspable clip having a self-expanding force. In a case in which a clip having the self-expanding force is refilled and used in the medical clip cartridge, the hook connected to the clip may protrude from the distal end of the catheter tube due to the self-expanding force of the clip. As a result, the connection between the clip and the hook may become unstable, or the connection between the clip and the hook may be disconnected.
SUMMARYAccording to an aspect of the present disclosure, a clip device includes an arm portion including a plurality of arms that are biased to an open state; a pressing tube to which a proximal-end portion of the arm portion is accommodated and configured to be able to lock the arm portion in a closed state; an insertion portion connected to a proximal-end opening of the pressing tube at a distal end of the insertion portion; a power transmission member being inserted through the insertion portion; a link configured to detachably connect a distal-end portion of the power transmission member and a proximal-end portion of the arm portion; a regulation member configured to regulate the distal-end portion of the power transmission member from protruding from a distal-end opening of the pressing tube, and a switching portion configured to switch the clip device between a first state in which the proximal-end portion of the arm portion and the distal-end portion of the power transmission member are attachable to each other and detachable from each other and a second state in which the proximal-end portion of the arm portion and the distal-end portion of the power transmission member are not attachable to each other and not detachable from each other when the distal-end portion of the power transmission member is regulated from protruding from the distal-end opening of the pressing tube by the regulation member.
Another aspect of the present disclosure includes a connection method of a clip unit and an actuator, wherein the clip unit comprises an arm portion including a plurality of arms that are biased to an open state, and a pressing tube to which a proximal-end portion of the arm portion is accommodated and configured to be able to lock the arm portion in a closed state, and the actuator includes an insertion portion connected to a proximal-end opening of the pressing tube at a distal end of the insertion portion, a power transmission member being inserted through the insertion portion, a link configured to detachably connect a distal-end portion of the power transmission member and a proximal-end portion of the arm portion, and a regulation member configured to regulate the distal-end portion of the power transmission member from protruding from a distal-end opening of the pressing. The method includes switching between a first state in which the proximal-end portion of the arm portion and the distal-end portion of the power transmission member are attachable to each other and detachable from each other and a second state in which the proximal-end portion of the arm portion and the distal-end portion of the power transmission member are not attachable to each other and not detachable from each other when the distal-end portion of the power transmission member is regulated from protruding from the distal-end opening of the pressing tube by the regulation member.
According to a further aspect of the present disclosure, a clip device includes a plurality of arms being openable and closable; a holder having a proximal-end opening and configured to accommodate at least part of the plurality of arms; a sheath connected the proximal-end opening; a wire inserting through the sheath; a link configured to detachably connect the plurality of arms and the wire; and a switching portion configured to switch between a first state in which the plurality of arms and the wire are attachable to each other and detachable from each other and a second state in which the plurality of arms and the wire are not attachable to each other and not detachable from each other when a relative position of the holder and the sheath in a longitudinal direction of the sheath is maintained.
An exemplary embodiment according to the present disclosure will be described by referring from
The clip device 100 includes a clip unit (treatment unit) 10 to be placed in the body and an actuator 50 for operating the clip unit 10. The clip unit 10 is attached to the tip (distal end) of the actuator 50.
[Clip Unit 10]The clip unit 10 includes an arm portion 20, a holding pipe (holding member) 30 in which a part of the arm portion 20 is housed, and a connection member 40.
The arm portion 20 includes a pair of arms as a first arm 21 and a second arm 22. The first arm 21 and the second arm 22 have a claw 21a and a claw 22a at distal-end portions thereof, respectively. As shown in
The arm portion 20 is made of a metal containing an alloy. Examples of the material of the arm portion 20 include the stainless steel, the cobalt-chromium alloy, the nickel-titanium alloy and the like.
The first arm 21 and the second arm 22 are expanded in an initial state as shown in
The pressing tube 30 is a tubular tightening member made of metal, resin, or the like. As shown in
A locking portion 23 is provided in an intermediate portion of each arm of the arm portion 20, and the dimension of each arm 21 and arm 22 at the locking portions 23 in the width direction becomes larger (only the first arm is shown in
The pressing tube 30 further includes a lateral opening 37 penetrating the lateral portion thereof. As shown in
The connection member 40 is a member rotatably attached to the proximal-end portion 20a. The connection member 40 has a connection hole 40a through which the proximal-end portion 20a is inserted, and an engaging portion 40b that engages with a hook 70 described later. The connection member 40 may be integrally molded with the arm portion 20.
The connection hole 40a is opened in a direction orthogonal to the longitudinal axis 0 of the clip unit 10. Therefore, the connection member 40 rotates in a direction separating from the longitudinal axis 0 about an axis orthogonal to the longitudinal axis 0 with respect to the arm portion 20.
The engaging portion 40b is an L-shaped member. The engaging portion 40b is provided at a position on the proximal-end side away from the connection hole 40a, and rotates about the connection hole 40a as a rotation center. The outer dimension of the engaging portion 40b is smaller than the inner diameter of the lateral opening 37 formed on the lateral portion of the pressing tube 30. The engaging portion 40b can pass through the lateral opening 37.
The engaging portion 40b breaks when a breaking force due to a pulling from 20N (Newton) to 90N for example is applied to the engaging portion 40b by being pulled toward the proximal-end side.
The connection member 40 may be a member that is non-rotatably attached to the proximal-end portion 20a and moves in a direction separating from the longitudinal axis 0 due to the elastic deformation of the connection portion with the proximal-end portion 20a.
The arm portion 20 as shown in
The actuator 50 includes an elongated insertion portion 51, an operation wire (power transmission member) 52 passed through the insertion portion 51, an operation portion 60 connected to the insertion portion 51, and a hook (attachment-detachment portion) 70.
The insertion portion 51 is, for example, a sheath formed of a coil. The distal end of the insertion portion 51 is connected to the proximal-end opening 30b of the pressing tube 30. As shown in
A stopper 56 is attached to the operation wire 52. The shape and dimensions of the stopper 56 are set so as to be unable to enter the guide pipe 55 such that when the stopper 56 comes into contact with the rear end of the guide pipe 55, the operation wire 52 cannot advance any further.
The hook 70 is attached to the distal-end portion of the operation wire 52 and engages with the clip unit 10. The outer dimension of the hook 70 is smaller than the inner diameter of the proximal-end opening 30b. As shown in
The hook 70 has a distal-end portion 70a that engages with the engaging portion 40b of the connection member 40. The distal-end portion 70a is formed in a substantially L shape. A tapered surface 70b inclined with respect to the longitudinal axis 0 is formed on the distal-end side of the distal-end portion 70a.
The stopper (regulation member) 56 allows the advancement of the operation wire 52 to a position where the hook 70 is engageable with the connection member 40. The stopper 56 does not allow the advancement of the operation wire 52 from the position where the hook 70 is engageable with the connection member 40 to the position on the distal-end side. Therefore, the hook 70 does not protrude from the distal-end opening 30a of the pressing tube 30.
The operation portion 60 has a main body 61 connected to the insertion portion 51 and a slider 62 slidably attached to the main body 61. As the operation wire 52, for example, a stranded wire made of a metal wire can be used. The proximal-end portion of the operation wire 52 is connected to the slider 62. When the slider 62 is moved with respect to the main body 61, the operation wire 52 can be advanced and retracted in the insertion portion 51.
The operations and effects of the clip unit 10 configured as described above at the time of refilling will be described.
As shown in
The user rotates the pressing tube 30 around the longitudinal axis 0 with respect to the arm portion 20, and arranges the connection member 40 at a position where at least part of the engaging portion 40b can pass through the lateral opening 37.
As shown in
As shown in
As shown in
As shown in
The hook 70 does not protrude from the distal-end opening 30a of the pressing tube 30 due to the stopper 56. Therefore, the hook 70 does not protrude from the distal-end opening 30a, the connection between the arm portion 20 and the hook 70 does not become unstable, and the connection between the arm portion 20 and the hook 70 is not disconnected.
The operations and effects of the clip device 100 configured as described above when used will be described.
The clip device 100 is introduced into the body via the endoscope channel. When inserting the clip device 100 into the endoscope, the user retracts the slider 62 by a predetermined amount and inserts the clip device 100 in a state in which the arm portion 20 is closed and unlocked. The clip unit 10 with the arm portion 20 closed and the distal-end portion of the insertion portion 51 may be inserted into the endoscope while being accommodated in the outer sheath 53 (see
When the clip device 100 is protruded from the channel opening at the distal-end of the endoscope, the pulling force with respect to the slider 62 is reduced, and the arm portion 20 advances with respect to the pressing tube 30 due to its own elastic restoration force. As a result, the pair of arm 21 and arm 22 are in the open configuration. When the stopper 56 comes into contact with the rear end of the guide pipe 55, the arm portion 20 cannot advance with respect to the pressing tube 30 such that the arm portion 20 does not fall off from the pressing tube 30 and the open configuration is maintained.
When the user retracts the slider 62 with respect to the main body 61, the operation wire 52 is pulled and the arm portion 20 retracts with respect to the pressing tube 30. As a result, the pair of arms 21, 22 are closed to a closed configuration. The user can ligate the tissue by locating the tissue between the pair of arms 21, 22 and closing the pair of arms 21, 22. By advancing the slider 62 with respect to the main body 61 until the locking operation described later is performed, the pair of arms 21, 22 can be transitioned from the closed configuration to the open configuration again. Therefore, in the clip device 100, the clip unit 10 can be operated by the operation wire 52 to re-grasp the tissue until the locking operation is performed.
When it is determined that the tissue located between the pair of arms 21, 22 is suitable to be ligated, the user performs the locking operation for fixing the arm portion 20 in the closed configuration. In the locking operation, the user further retracts the slider 62 with respect to the main body 61 beyond the range in which the re-grasping can be performed. When the slider 62 retracts, the operation wire 52 is pulled, and the pair of arms 21, 22 enter the pressing tube 30 in substantially parallel with each other while clamping the tissue. Furthermore, the locking portions 23 provided on the pair of arms 21, 22 approach each other to enter a positional relationship in which they can pass through the proximal-end opening 30b of the pressing tube 30.
As shown in
The user further pulls the operation wire 52. As shown in
The user retracts the insertion part 51. As a result, as shown in
According to the clip device 100 according to the present embodiment, the re-graspable clip unit 10 having the self-expanding force can be easily refilled. The connection member 40, the lateral opening 37 of the pressing tube 30, and the guide pipe (supporting member) 55 that rotatably supports the pressing tube 30 around the longitudinal axis 0 configure a “switching portion”. The switching portion is configured to switch a state (first state) in which the connection member 40 attached to the proximal-end portion of the arm portion 20 and the hook 70 are attachable to each other and detachable from each other and a state (second state) in which the connection member 40 attached to the proximal-end portion of the arm portion 20 and the hook 70 are not attachable to each other and not detachable from each other in a state in which the distal-end portion of the operation wire 52 is regulated from protruding from the distal-end opening 30a of the pressing tube 30 by the stopper 56, that is, in a state in which the hook 70 (link 80) does not protrude from the distal-end opening 30a of the pressing tube 30.
According to the clip device 100 according to the present embodiment, even in the case in which the arm portion 20 has the self-expanding force, the hook 70 does not protrude from the distal-end opening 30a, the connection between the arm portion 20 and the hook 70 does not become unstable, and the connection between the arm portion 20 and the hook 70 is not disconnected.
Although the present embodiment has been described in detail with reference to the figures, the specific configuration is not limited to what is shown in the figures, and includes design changes and the like within a range that does not deviate from the scope of the present disclosure. Also, the configuration components shown in the above-described embodiment and the modification examples shown below can be appropriately combined and configured.
Modification Example 1For example, in the above-described embodiment, the link 80 is configured of the connection member 40 attached to the proximal-end portion 20a of the arm portion 20 and the hook 70 attached to the distal-end portion of the operation wire 52. The aspect of the link is not limited to this configuration.
For example, in the above-described embodiment, the connection member 40 is in the state of being attachable to and detachable from the hook 70 since the L-shaped engaging portion 40b rotates. The attachment-detachment configuration of the connection member 40 and the hook 70 is not limited to this configuration.
The user rotates the pressing tube 30 around the longitudinal axis 0 with respect to the arm portion 20 such that the connection member 40F transitions from the closed state to the open state, and the connection member 40F is arranged at the position where the connection member 40F can pass through the lateral opening 37. As shown in
The user rotates the pressing tube 30 around the longitudinal axis 0 with respect to the arm portion 20 and arranges the connection member 40F at the position where the connection member 40F cannot pass through the lateral opening 37 such that the connection member 40F does not transition from the closed state to the open state. As shown in
Another exemplary embodiment of the present disclosure will be described with reference to
The clip device 100B includes a clip unit (treatment portion) 10B indwelled in the body and an actuator 50B for operating the clip unit 10B.
The clip unit 10B includes an arm portion 20, a pressing tube (holding member) 30B in which a part of the arm portion 20 is accommodated, and a connection member 40B.
The pressing tube 30B has the same configuration as that of the pressing tube 30 according to the above-described embodiment except that the pressing tube 30B does not include the lateral opening 37.
The connection member 40B is a member rotatably attached to the proximal-end portion 20a. The connection member 40B includes a connection hole 40a through which the proximal-end portion 20a is inserted, an engaging portion 40b that engages with the hook 70, and a rotation member 40c. The connection member 40B and the attachment-detachment portion 70 configure a link 80B.
The rotation member 40c is a member that rotatably supports the L-shaped engaging portion 40b. The engaging portion 40b supported by the rotation member 40c rotates about an axis orthogonal to the longitudinal axis 0 as the rotation center. In the connection member 40B, the connection hole 40a and the engaging portion 40b are connected via the rotation member 40c, and a length L in the longitudinal direction is longer than that of the connection member 40 according to the above-described embodiment.
The actuator 50B includes an elongated insertion portion 51B, an operation wire (power transmission member) 52 passed through the insertion portion 51B, an operation portion 60 connected to the insertion portion 51B, and a hook (attachment-detachment portion) 70.
The insertion portion 51B is, for example, a sheath formed of a coil. The distal end of the insertion portion 51B is connected to the proximal-end opening 30b of the pressing tube 30B. A lateral opening 57 is formed on the lateral surface near the distal end of the insertion portion 51B. The lateral opening 57 has an elongated hole shape extending in the longitudinal direction L of the clip unit 10B. The lateral opening 57 is an opening having the same size as that of the lateral opening 37 according to the above-described embodiment, and the engaging portion 40b can pass through the lateral opening 57.
The operations and effects at the time of refilling the clip unit 10B configured as described above will be described.
As shown in
The user rotates the pressing tube 30 around the longitudinal axis 0 with respect to the arm portion 20, and arranges the connection member 40B at a position where at least part of the engaging portion 40b can pass through the lateral opening 57.
As shown in
As shown in
As shown in
The user rotates the pressing tube 30B around the longitudinal axis 0 with respect to the arm portion 20, and arranges the connection member 40 at a position where at least part of the engaging portion 40b cannot pass through the lateral opening 57. As a result, even if the engaging portion 40b is to rotate about an axis orthogonal to the longitudinal axis 0 with respect to the arm portion 20, at least part of the engaging portion 40b cannot pass through the lateral opening 57. Therefore, the connection member 40B attached to the proximal-end portion of the arm portion 20 and the hook 70 are in the state in which the connection member 40B and the hook 70 are not attachable to and detachable from each other.
According to the clip device 100B according to the present embodiment, similar to the clip device 100 according to the above-described embodiment, it is easy to refill the clip unit 10B having the self-expanding force to be re-graspable. The connection member 40B, the lateral opening 57 of the insertion portion 51, and the guide pipe (supporting member) 55 that rotatably supports the pressing tube 30B around the longitudinal axis 0 configure the “switching portion”. The switching portion is configured to switch a state (first state) in which the connection member 40B attached to the proximal-end portion of the arm portion 20 and the hook 70 are attachable to each other and detachable from each other and a state (second state) in which the connection member 40B attached to the proximal-end portion of the arm portion 20 and the hook 70 are not attachable to each other and not detachable from each other in a state in which the distal-end portion of the operation wire 52 is regulated from protruding from the distal-end opening 30a of the pressing tube 30B by the stopper 56, that is, in a state in which the hook 70 (link 80) does not protrude from the distal-end opening 30a of the pressing tube 30B.
According to the clip device 100B according to the present embodiment, even if in the case in which the lateral opening is formed in the insertion portion 51 rather than in the pressing tube 30B, the clip device 100B can exhibit the same effect as that of the above-described embodiment.
Although the present embodiment of the present disclosure has been described in detail with reference to the figures, the specific configuration is not limited to what is shown in the figures, and includes design changes and the like within a range that does not deviate from the scope of the present disclosure. In addition, the configurational components shown in the above-described embodiments and modification examples can be appropriately combined and configured.
Another exemplary embodiment of the present disclosure will be described with reference to
The clip device 100C includes a clip unit (treatment unit) 100 indwelled in the body and an actuator 50 for operating the clip unit 100.
The clip unit 100 includes an arm portion 20, a pressing tube (holding member) 30C in which a part of the arm portion 20 is accommodated, and a connection member 40.
The pressing tube 30C further includes a cover member 31C as compared with the pressing tube 30B according to the embodiment of
As shown in
The operations and effects of the clip unit 10C configured as described above at the time of refilling will be described.
As shown in
As shown in
According to the clip device 100C of the present embodiment, similar to the clip device 100 according to the embodiment of
According to the clip device 100C according to the present embodiment, it is possible to achieve the same effects as that of the embodiment of
Although the present embodiment of the present disclosure has been described in detail with reference to the figures, the specific configuration is not limited to what is shown in the figures, and includes design changes and the like within a range that does not deviate from the scope of the present disclosure. In addition, the configurational components shown in the above-described embodiments and modifications can be appropriately combined and configured.
Another exemplary embodiment of the present disclosure will be described with reference to
The clip device 100D includes a clip unit (treatment unit) 10D indwelled in the body and an actuator 50 for operating the clip unit 10D.
The clip unit 10D includes an arm portion 20, a pressing tube (holding member) 30D in which a part of the arm portion 20 is accommodated, and the connection member 40.
The pressing tube 30D further includes an open-close member 33D and a ring member 34D as compared with the pressing tube 30B according to the embodiment of
The open-close member 33D is a pair of open-close members provided at the proximal end of the pressing tube main body 32D. The open-close member 33D has a cylindrical shape in the closed state. The open-close member 33D is rotatably attached to the pressing tube main body 32D on the distal-end side thereof.
The ring member (stopper) 34D is a ring-shaped member that can be fitted to the outer circumferential surface of the pressing tube main body 32D and the outer circumferential surface of the closed open-close member 33D. The ring member 34D is slidable between the outer circumferential surface of the pressing tube main body 32D and the outer circumferential surface of the closed open-close member 33D.
The operations and effects of the clip unit 10D configured as described above at the time of refilling will be described.
As shown in
As shown in
According to the clip device 100D of the present embodiment, it is easy to refill the clip unit 10D having a self-expanding force to be re-graspable, similar to the clip device 100 according to the embodiment of
According to the clip device 100D of the present embodiment, the clip device 100D can exhibit the same effect as that of the embodiment of
Although the present embodiment of the present disclosure has been described in detail with reference to the figures, the specific configuration is not limited to what is shown in the figures, and includes design changes and the like within a range that does not deviate from the scope of the present disclosure. In addition, the components shown in the above-described embodiments and modifications can be appropriately combined and configured.
Another exemplary embodiment of the present disclosure will be described with reference to
The clip device 100E includes a clip unit (treatment unit) 10B indwelled in the body and an actuator 50E for operating the clip unit 10B.
The actuator 50E includes an elongated insertion portion 51, an operation wire (power transmission member) 52 passed through the insertion portion 51, an operation portion 60 connected to the insertion portion 51, a hook (attachment-detachment portion) 70, an open-close member 58E, and ring member 59E.
The open-close member 58E is a pair of open-close members provided at the distal end of the insertion portion 51. The open-close member 58E has a cylindrical shape in the closed state. The open-close member 58E is rotatably attached to the insertion portion 51 on the proximal-end side thereof.
The ring member (stopper) 59E is a ring-shaped member that can be fitted to the outer circumferential surface of the distal end of the insertion portion 51 and the outer circumferential surface of the closed open-close member 58E. The ring member 59E is slidable between the outer circumferential surface of the distal end of the insertion portion 51 and the outer circumferential surface of the open-close member 58E in the closed state.
The operations and effects of the clip unit 10E configured as described above at the time of refilling will be described.
As shown in
As shown in
According to the clip device 100E of the present embodiment, similar to the clip device 100 according to the embodiment of
According to the clip device 100E of the present embodiment, the clip device 100E can exhibit the same effects as that of the embodiment of
Although the present embodiment of the present disclosure has been described in detail with reference to the figures, the specific configuration is not limited to what is shown in the figures, and includes design changes and the like within a range that does not deviate from the scope of the present disclosure. In addition, the components shown in the above-described embodiments and modifications can be appropriately combined and configured.
Modification Example 3In the above embodiment, the arm portion 20 has the first arm 21 and the second arm 22; however, the aspect of the arm portion 20 is not limited to this configuration. The arm portion 20 may have a plurality of arms that are openable and closable, and for example, the arm portion 20 may have four arms.
Although exemplary embodiments of the present disclosure have been described above, the present disclosure is not limited to these embodiments. Configurations can be added, omitted, replaced, and other modifications without departing from the scope of the present disclosure.
Further, the present disclosure is not limited by the above description, but is limited only by the appended claims.
Claims
1. A clip device, comprising:
- an arm portion including a plurality of arms that are biased to an open state;
- a pressing tube into which a proximal-end portion of the arm portion is accommodated, the pressing tube being configured to lock the arm portion in a closed state;
- an insertion portion connected to a proximal-end opening of the pressing tube at a distal end of the insertion portion;
- a power transmission member extending through the insertion portion;
- a link configured to detachably connect a distal-end portion of the power transmission member and a proximal-end portion of the arm portion; and
- a first stopper configured to regulate the distal-end portion of the power transmission member from protruding from a distal-end opening of the pressing tube,
- wherein the clip device is configured to switch between: a first state in which the proximal-end portion of the arm portion and the distal-end portion of the power transmission member are attachable to each other and detachable from each other, and a second state in which the proximal-end portion of the arm portion and the distal-end portion of the power transmission member are not attachable to each other and not detachable from each other.
2. The clip device according to claim 1, wherein:
- the link includes a connection member attached to either of the proximal-end portion of the arm portion or the distal-end portion of the power transmission member so as to be movable in a direction separating from a longitudinal axis of the pressing tube, and
- the connection member is attachable to and detachable from the other side of the proximal-end portion of the arm portion or the distal-end portion of the power transmission member.
3. The clip device according to claim 2, wherein the clip device is configured to switch between the first state and the second state by operation of a switching portion comprising:
- the connection member,
- a lateral opening provided on a lateral surface of the pressing tube and through which at least part of the connection member is insertable, and
- a support member provided at a distal end of the insertion portion and configured to support the pressing tube to be rotatable around the longitudinal axis with respect to the arm portion.
4. The clip device according to claim 2, wherein the clip device is configured to switch between the first state and the second state by operation of a switching portion comprising:
- the connection member,
- a lateral opening provided on a lateral surface of the insertion portion and through which at least part of the connection member is insertable, and
- a support member provided at a distal end of the insertion portion and configured to support the pressing tube to be rotatable around the longitudinal axis.
5. The clip device according to claim 2, wherein the clip device is configured to switch between the first state and the second state by operation of a switching portion comprising:
- the connection member, and
- a tubular cover member that is slidably attached to the pressing tube.
6. The clip device according to claim 2, wherein the clip device is configured to switch between the first state and the second state by operation of a switching portion comprising:
- the connection member,
- an open-close member provided at a proximal end of the pressing tube, and
- a second stopper configured to prevent the open-close member from opening.
7. The clip device according to claim 2, wherein the clip device is configured to switch between the first state and the second state by operation of a switching portion comprising:
- the connection member,
- an open-close member provided at a distal end of the insertion portion, and
- a second stopper configured to prevent the open-close member from opening.
8. The clip device according to claim 2, wherein the connection member is configured to be deformed when applied with a predetermined fracture force.
9. A connection method of a clip unit and an actuator, wherein:
- the clip unit comprises: an arm portion including a plurality of arms that are biased to an open state, and a pressing tube into which a proximal-end portion of the arm portion is accommodated and configured to lock the arm portion in a closed state, and
- the actuator comprises: an insertion portion connected to a proximal-end opening of the pressing tube at a distal end of the insertion portion, a power transmission member extending through the insertion portion, a link configured to detachably connect a distal-end portion of the power transmission member and a proximal-end portion of the arm portion, and a stopper configured to regulate the distal-end portion of the power transmission member from protruding from a distal-end opening of the pressing tube,
- the connection method comprising, when the distal-end portion of the power transmission member is regulated from protruding from the distal-end opening of the pressing tube by the regulation member switching between: a first state in which the proximal-end portion of the arm portion and the distal-end portion of the power transmission member are attachable to each other and detachable from each other, and a second state in which the proximal-end portion of the arm portion and the distal-end portion of the power transmission member are not attachable to each other and not detachable from each other.
10. The connection method according to claim 9, further comprising:
- rotating the pressing tube or the link around the longitudinal axis of the insertion portion to switch between the first state and the second state.
11. The connection method according to claim 9, further comprising:
- sliding a cover attached to the pressing tube in a longitudinal direction of the insertion portion to switch between the first state and the second state.
12. The connection method according to claim 9, further comprising:
- enlarging an inner diameter of the pressing tube or an inner diameter of the insertion portion to switch between the first state and the second state.
13. A clip device, comprising:
- a plurality of arms configured to open and close;
- a holder having a proximal-end opening and being configured to accommodate at least part of the plurality of arms;
- a sheath connected the proximal-end opening;
- a wire extending through the sheath; and
- a link configured to detachably connect the plurality of arms and the wire,
- wherein the clip device is configured to switch between: a first state in which the plurality of arms and the wire are attachable to each other and detachable from each other, and a second state in which the plurality of arms and the wire are not attachable to each other and not detachable from each other.
14. The clip device according to claim 13, wherein:
- the holder includes a distal-end opening,
- the clip device further includes a stopper configured to regulate a distal end of the wire from protruding from the distal-end opening, and
- the clip device is configured to switch between the first state and the second state when the distal end of the wire is regulated from protruding from the distal-end opening by the regulation member.
15. The clip device according to claim 13, wherein the clip device is configured to switch between the first state and the second state due to a rotation of the holder around the longitudinal axis or a rotation of the link around the longitudinal axis.
16. The clip device according to claim 15, wherein the clip device is configured to switch between the first state and the second state by operation of a switching portion comprising:
- a lateral opening provided on a lateral surface of the holder or the sheath, wherein at least part of the link is insertable through the lateral opening; and
- a support member provided in the sheath, wherein the support member is configured to support the holder and rotate around the longitudinal axis.
17. The clip device according to claim 13, further comprising:
- a cover slidably attached to the holder,
- wherein the clip device is configured to switch between the first state and the second state by sliding the cover on the holder in the longitudinal direction.
18. The clip device according to claim 13, wherein the clip device is configured to switch between the first state and the second state by enlarging an inner diameter of the holder or an inner diameter of the sheath.
19. The clip device according to claim 18, further comprising:
- an open-close member provided on the holder or the sheath; and
- a stopper configured to prevent the open-close member from opening.
20. The clip device according to claim 13, wherein:
- the link is a hook fixed to the plurality of arms or the wire, and
- the link is configured to detachably connect the plurality of arms and the wire by displacing in the direction separating from the longitudinal axis.
Type: Application
Filed: Oct 13, 2022
Publication Date: Feb 2, 2023
Applicant: OLYMPUS CORPORATION (Tokyo)
Inventors: Toshinori TAMURA (Tokyo), Kensuke UESAKA (Tokyo), Ryu YORITA (Tokyo), Yasuyuki FUJIMOTO (Tokyo)
Application Number: 17/965,490